부인과 질환에 대한 추나 요법: 체계적 문헌 고찰 및 메타분석 = Chuna Manual Therapy on Gynecologic Disease: A Systematic Review and Meta-analysis

다국어 초록 (Multilingual Abstract)

Objectives : This study aimed to investigate the clinical trial trends of Chuna manual therapy (CMT) on gynecologic disease and suggest the effectiveness and safety evidence for further study.
Methods : We searched nine electronic databases (CENTRAL, CiNii, CNKI, EMBASE, KMbase, KISS, MEDLINE PubMed, NDSL, and OASIS) using the search terms “Chuna” and “Tuina” and identified relevant literature that investigated the CMT as an intervention for gynecologic disease. All relevant papers were extracted and selected to be analyzed.
Results : Among the 1456 studies that were searched and screened, 18 randomized controlled trials (RCTs) satisfied the designated criteria. A meta-analysis showed that CMT had a curative effect on patients with primary dysmenorrhea, postpartum hypogalactia, breast hyperplasia, postpartum urinary retention, and pelvic pain.
Conclusions : Based on this study, CMT should be comprehensively considered for gynecologic disease. The treatment response was significantly enhanced after treatment; however, there were some limitations in the study. More well-designed RCTs are needed to ensure that all gynecologic patients have a safe and effective therapy.

참고문헌 (Reference)

1 김민영 ; 정보영 ; 하인혁 ; 이진호 ; 김종호, "한방의료기관 이용환자의 추나 이용실태 - 21개 한방병의원 전자의무기록 자료를 이용하여 –" 대한한의학회 40 (40): 86-98, 2019

2 이진욱 ; 황영식 ; 김규태 ; 박승혁 ; 이진무 ; 이창훈 ; 장준복 ; 황덕상, "한방여성의학에서 추나요법을 활용한 국내 연구 동향 분석" 대한한방부인과학회 32 (32): 87-99, 2019

3 최도일 ; 정태오 ; 진영호 ; 이재백, "통증에 대한 단일차원 평가법과 구두 표현법을 이용한 통증경감의 임상적 의미" 대한응급의학회 14 (14): 66-70, 2003

4 조주찬 ; 박인화 ; 황만석 ; 허인, "출산 후 요통에 대한 추나요법의 효과: 체계적 문헌고찰" 척추신경추나의학회 16 (16): 1-8, 2021

5 서하라 ; 이옥진 ; 이재은 ; 김명규, "원발성 월경통의 추나 치료에 대한 체계적 문헌 고찰" 한방재활의학과학회 27 (27): 81-93, 2017

6 김채영 ; 이은별 ; 김현지 ; 안희덕, "산후 유즙분비부전에 대한 추나 치료: 체계적 문헌 고찰 및 메타분석" 척추신경추나의학회 17 (17): 1-10, 2022

7 Shao Y, "Treatment of Postpartum Hypogalactia with Qi-blood Vacuity by Qi-regulating and Root-Securing Message : A Clinical Observation" 21 (21): 94-96, 2015

8 Cui KM, "The Influence of Cervical Spine Massotherapy on Autonomic Nerve Function in Healthy Volunteers" 25 (25): 6-8, 2006

9 Hensel K, "Research on Osteopathic Manipulation Optimizing Treatment Effects : The PROMOTE STUDY A Randomized Controlled Trial" 212 (212): 108.e1-108.e9, 2015

10 The Society of Korean Medicine Obstetrics and Gynecology, "Oriental Obstetrics & Gynecology" Uiseongdang 413-950, 2012

11 The Society of Medicine Obstetrics and Gynecology, "Obstetrics & Gynecology" Koonja 151-, 2015

12 Dawood MY, "Nonsteroidal anti-inflammatory drugs and changing attitudes toward dysmenorrhea" 84 : 23-29, 1988

13 Wang HL, "Massage for Primary Dysmenorrhea in 62Cases" 37 (37): 34-35, 2003

14 Cui J, "Massage for 60 Cases of Dysmenorrhea" 29 (29): 893-915, 2013

15 Li CZ, "Influence of Carrying Out Breasts Massage in the Third Trimester and Postpartum on Lactating" 25 (25): 1180-1181, 2011

16 Peng L, "Effects of Different Massage Manual Therapys on Serum PGF2α and Pain in Patients with Primary Dysmenorrhea" 32 (32): 64-74, 2012

17 Zheng JJ, "Effect of Tuina at the Breasts on Postpartum Lactation" 32 (32): 159-161, 2012

18 Lu K, "Effect of Rubbing 17 Vertebrae on Clinical Symptoms of Primary Dysmenorrhea" 23 (23): 39-41, 2011

19 Chen Y, "Effect of Massage on Hemodynamics Parameters of Uterine Artery and Serum Prostaglandin in Treating Patients with Primary Dysmenorrhea" 31 (31): 1355-1358, 2011

20 Z. Harel, "Dysmenorrhea in adolescents" 1135 : 185-195, 2008

21 Stuge B, "Diagnosis and Treatment of Pelvic Girdle Pain" 130 (130): 2141-2145, 2010

22 Huang F, "Curative Effect of Massage Therapy on Postpartum Hypogalactia with Deficiency of Qi and Blood" 33 (33): 34-36, 2017

23 Zhu AL, "Clinical Study of Tuina Manual Therapy for Postpartum Hypogalactia" 50 (50): 177-179, 2018

24 Liu W, "Clinical Observation on the Treatment of Primary Dysmenorrhea" 3 (3): 28-30, 2012

25 He Lk, "Clinical Observation on Massage and Tuina Manipulation for Postpartum Urinary Retention" 6 : 101-102, 2006

26 Liu Y, "Clinical Observation on Manipulation of Primary Dysmenorrhea" 21 (21): 137-138, 2012

27 Zheng QS, "Clinical Observation of Massage Treatment of Primary Dysmenorrhea" 28 (28): 54-56, 2009

28 Shao CF, "Clinical Observation of 80 Cases of Breast Hyperplasia Treated by Massage Combined with Rujiling Granule" 35 (35): 1033-1034, 2013

29 Wang Q, "Clinical Observation and Mechanism of Massage Therapy for Primary Dysmenorrhea" 33 (33): 390-392, 2009

30 Choi YD, "Clinical Gynecology" Korea Medical Book Publishing Company 145-152, 2001

31 Gu LL, "A Randomized Controlled Study of Pelvic Floor Manual Therapy Combined with Myofascial Trigger Point Acupuncture in the Treatment of Chronic Pelvic Pain" 22 : 151-152, 2021

32 Li Hy, "37 Cases of Postpartum Urinary Retention Combined Chinese and Western Medicine" 27 (27): 62-, 2011

33 Korea Institute of Oriental Medicine, "2016 Yearbook of Traditional Korean Medicine 1" Shnjin planing company 250-, 2018